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Certainty lives in layers

Philips IQon Spectral CT

Overcoming these challenges with imagingFacilities are being driven by reimbursement streams to ask the following questions:

Certainty lives in layers

As standardized quality measures

place an increased importance

on diagnostic certainty, the need

for solutions that produce more

definitive and accurate data than

conventional CT technology has

become apparent.

And that’s where detector-based

spectral technology comes in.

As the world’s first spectral

detector-based CT, the Philips

IQon Spectral CT delivers

multiple layers of retrospective

data in a single, low-dose scan,

empowering you to improve

clinical confidence that may

impact your quality outcomes.

With the IQon Spectral CT:

The first exam is the right exam.

You’ll have answers for your most challenging cases.

The advances are powerful—the workflow stays the same.

• Can we increase diagnostic accuracy

without increased dosage?

• How do we improve efficiency and

reduce errors?

• What can we do to fully integrate

evidence-based imaging practices?

• How can we better adhere to clinical

pathway protocols?

• Can we improve upon our approach

to patient-centric care and service

excellence for the department and

health system?

A new landscape with new challengesThe world of healthcare is shifting to a patient-centric, payment-for-services model—driving leaders in our field to ask: How can we provide better patient experiences* and improve clinical outcomes while achieving the economic objectives of our organization?

Conventional CT scans often produce ambiguous or inaccurate data that can require additional testing. To provide better patient experiences* and empower you to improve clinical outcomes while achieving the economic objectives of your organization, there’s a clear advantage to making the right diagnosis in the first scan. The first

exam is the right exam

• Reduce time and costs by

decreasing the number of

patient findings that are

indeterminate, providing

the opportunity to positively

impact patient care

• Reduce workflow complexity

• Reduce the need for additional tests through the

ability to create angiograms

from routine or low injected

contrast volume studies

• Transform a sub-optimal CTA exam into an optimal

diagnostic CTA

By delivering spectral results 100% of the time in a single scan, the Philips IQon Spectral CT can:

Case study

Is that a lesion?

Could be.

Could be nothing.

I can’t solve what I can’t see.

I need to be certain.

This conventional CT image shows what could be a suspicious area in the liver. However, further enhancement was needed to

better visualize the possible lesion. Normally, this patient would require additional scanning, such as MR or ultrasound.

*AAPM Technical Report 96 INVESTIGATIONAL DEVICE, LIMITED BY UNITED

STATES LAW TO INVESTIGATIONAL USE.

This patient, who was previously diagnosed with hepatic cell carcinoma and liver cirrhosis, underwent ablation to treat the hepatic lesions. Ablation effectiveness following treatment was a concern. The following images were taken on the Philips IQon Spectral CT.

Scan Data: CTDIvol: 15.2 mGyDLP: 550mGyxcmEffective Dose: 8.2mSv (k=0.015)*

Images courtesy of University of Texas Southwestern Medical Center



Spectral Monoenergetic (MonoE) Image

This 45 keV MonoE image reveals visualization of a suspected lesion. An additional scan is not needed to confirm.

Case study






Case Study

Z Effective Spectral Results

Here, we can visualize iodine uptake, adding another layer of information. Because spectral information is always on with the IQon Spectral CT, this additional information is available whenever a deeper analysis is needed.









The Philips IQon Spectral CT was

able to take a conventional CT and

lower the MonoE to provide layers

of spectral results in one scan.

With the IQon Spectral CT,

certainty lives in layers.

Z Effective Spectral Results

Conventional CT Spectral Monoenergetic Image

Case study

Is that normal cardiac anatomy?

Or lack of blood flow?

There’s no room for guesswork

when it comes to AFib.

How can I be sure?

Conventional [HU]This conventional CT image shows a left atrial hypoattenuating

lesion; whether it’s thrombus or slow flow cannot be determined. This would ordinarily require additional testing and delays.

Case study

INVESTIGATIONAL DEVICE, LIMITED BY UNITED


A 53-year old patient was being evaluated for pulmonary venous anatomy prior to radiofrequency ablation for atrial fibrillation and was referred to CT following an abnormal Transesophageal Echocardiogram (TEE).

Scan Data: CTDIvol: 12.1 mGykVp: 120mAs: 87Scan length: 23.2 cm

Images courtesy of University Hospitals Case Medical Center




The 45 keV MonoE image shows iodine enhancement in the coronary anatomy, but still leaves a questionable distinction between thrombus or slow flow. Additional spectral results are needed.

MonoE 45keV[HU]

Case study






Iodine Overlay

The Iodine Overlay image shows absence of iodine in the lesion. Absence of iodine typically indicates a thrombus rather than slow flow.

Conventional [HU]Overlay: Iodine Density [mg/ml]

Case study






Characterizing the presence of a

left atrial lesion and confirming

the presence of a thrombus

rather than slow flow allowed the

medical team to more confidently

formulate a treatment plan.

With the IQon Spectral CT,

certainty lives in layers.

Iodine Overlay Image

Conventional CT Spectral Monoenergetic Image




Case study

The answer for your most challenging cases

• Uncover obscured pathology

though improved visualization

and assessment of tissue in

proximity to metal implants

• Reduce radiation dose

through the full use of

iterative reconstruction

techniques (IMR) and dose

management tools including

3D dose modulation

• Determine therapy response through contrast

enhancement in lesions

• Experience enhanced diagnostic capabilities, even

in patients who would not

have been preselected for

dual-energy techniques

The Philips IQon Spectral CT helps you extend the benefits of spectral data to all patients, providing answers for even the most challenging scenarios. Being able to achieve diagnostic confidence, in even the most problematic situation, can help you provide better patient experiences* and improve clinical care.

With improved tissue characterization and visualization, and full use of dose management tools, the Philips IQon Spectral CT allows you to:

A challenging case can cause a great deal of uncertainty for the physician searching for the correct diagnosis and treatment plan.

An 85-year-old patient with aortic valve stenosis and dyspnea needed scans for a pre-procedural evaluation. Because of his challenging condition, he could only tolerate 20 cc of injected contrast which, in a conventional CT, yields poor visualization of the vasculature.


Images courtesy of University Hospitals Case Medical Center.

We need to do a pre-surgical plan for aortic valve replacement (TAVR).

But the patient can’t tolerate the routine

volume of IV contrast.

How do I visualize vascular access?

Case study






Even with 20 cc of injected contrast, lowering the MonoE to 45 keV enhanced iodine visualization in the aorta.

Case study






Spectral Advanced Vessel Analysis

Using Spectral Advanced Vessel Analysis enabled measurement of the vessel diameter for catheter placement. This allowed for visualization of the iliac artery for planning and access to the aortic valve.

Case study






Vascular procedures on certain patient

populations can be very challenging.

The medical team was able to plan a

vascular procedure on this challenging

patient.

With the IQon Spectral CT, certainty

lives in layers.

Spectral Monoenergetic Image

Spectral Advanced Vessel Analysis

Conventional CT

Case study




• Acquire spectral results

as part of a routine CT

scan

• Review and analyze spectral data on PACS,

with results ready in five

minutes

• Integrate spectral solutions easily, because

spectral is always on, 24/7

• Use spectral data to

address a wide variety of

complex clinical questions

• Analyze spectral results

retrospectively from

anywhere within your

enterprise

The Philips IQon Spectral CT and the Spectral Diagnostic Suite easily and fully integrates into your current workflow, allowing you to:

Training multiple professionals on a new system all at once can be a challenge. There’s a large variability in speed and skill level in learning and adjusting to new technologies.

The advancements are powerful–the workflow is the same

spectral results 100% of the time

within 5 minutes

always on 24/7

viewable from anywhere in organization

Now, every

technician can

acquire spectral data with

every scan—data that can be

viewed by physicians and care

teams across your organization to

help determine the best path for

patient care.

Spectral Diagnostic SuiteA suite of advanced visualization applications for the Philips IQon Spectral CT, the Spectral Diagnostic Suite delivers advanced spectral and clinical application tools, including Spectral Magic Glass and the Spectral Magic Glass on PACS app.

Philips helps you get the most out of your customer service Philips has developed service innovations designed to reduce time of repair and support an evolution towards fully predictive maintenance.

Low-dose solutions delivering on quality measures With the Philips IQon Spectral CT, you’ll have the full use of dose management tools—like iterative model reconstruction (IMR) and 3D dose modulation—allowing you to experience all the benefits of spectral data at the same dose levels as a conventional CT scan.

Spectral Magic GlassIn addition to conventional CT

images, Philips Spectral Magic

Glass enables on-demand

simultaneous viewing and quick

comparison of up to five different

spectral results for a region of

interest, including Monoenergetic,

Iodine Density, Virtual Non-

contrast, Iodine no Water, and Z

Effective maps.

Spectral Magic Glass on PACS appThe Spectral Magic Glass on PACS

app conveniently launches directly

in the user’s PACS viewing setup.

Spectral Magic Glass on PACS

is only available with the IQon

Spectral CT and offers a simple

interface that integrates into your

organization’s current workflow with

little or no training.

Integrated Health System monitoringPredictive maintenance

that leverages

information from

more than 400 health

properties and over

3,000 data points

Onboard visual diagnosticsAdvanced auto-

diagnostic routines

that offer faster failure

identification and

resolution

Expanded remote capabilitiesAutomated data

collection and expanded

diagnostic routines

that can be executed

remotely for real-time

clinical support

Proactive remote monitoringRemote teams of

global experts who

collaborate with local

service and your staff to

monitor performance,

detect anomalies, and

immediately repair or

maintain your system

without interrupting

patient care

Spectral Magic Glass on PACS app is integrated with IntelliSpace PACS (iSite) and Sectra. In addition, we have completed ISP (SpDS) integration on several PACS and can make available upon request our open interface document to local hospital or PACS vendor IT in order to complete the Standard Integration.

When it comes to the positive

effects it can have on your

organization, that’s only the

beginning.

Because what the IQon Spectral CT

really delivers is certainty. With

certainty come solutions. And as

the world of healthcare advances

towards a patient-centric model,

those solutions can allow your

organization to provide better

patient experiences,* enhance

clinical care, and achieve

your economic objectives.

With the Philips IQon Spectral CT:• The first exam is the right

exam.

• You’ll have the answer for your most challenging cases.

• Though the advancements are powerful—the workflow is the same.

Sources:

Evaluating Optimal Monochromatic Energy Reconstruction on Aortic Angiography Obtained from Spectral Detector CT

Prabhakar Rajiah MD, FRCR (Presenter): Institutional Research Grant, Koninklijke Philips NV, Andrew Sher MD: Research Grant, Koninklijke Philips NV, Abed Ghandour MD :

Nothing to Disclose, Rong Rong MD: Institutional Grant support, Koninklijke Philips NV, Amar Dhanantwari: Employee, Koninklijke Philips NV

Fleischmann,D, Vascular Imaging Series: CT Angiography-New Techniques and Their Application. Radiological Society of North America 2014 Scientific Assembly and Annual

Meeting, November 30 - December 5, 2014, Chicago IL

Incremental Benefit and Clinical Significance of Retrospectively Obtained Spectral Data in a Novel Spectral Detector CT Technology- Initial Experiences and Results

Claudia M. Martinez Rios Arellano MD: Research Grant, Koninklijke Philips NV, Rong Rong MD: Institutional Grant support, Koninklijke Philips NV, Robert C. Gilkeson MD:

Research Consultant, Riverain

To learn more, please visit www.Philips.com/IQon


*The Centers for Medicare & Medicaid Services requires United States hospitals that treat Medicare patients to participate in the national Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, a standardized tool that measures patients’ experience of hospital care. Results collected for public reporting are available at medicare.gov/hospitalcompare. The images and descriptions contained herein provide technical specifications and optional features which may not be included with the standard system configuration. Contact your local Philips Representative for complete specific system details. Some or all of the products, features, and accessories shown or described herein may not be available in your market. Please contact your local Philips Representative for availability.

© 2016 Koninklijke Philips N.V. All rights reserved. Specifications are subject to change without notice. Trademarks are the property of Koninklijke Philips N.V. or their respective owners. www.philips.com

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